FORM 1023-EZ for LIFT IMPROVEMENT FOR TRANSFORMATION

Field Data
EIN 81-2684840
Case Number EO-2016278-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFT IMPROVEMENT FOR TRANSFORMATION
Organization’s Mailing Address 759 APPIAN WAY NUMBER 2C
City PINOLE
State CA
ZIP 94565
Accounting period End 7
Primary contact name STAFFORD WYSEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRYLYN SWIFT
PRESIDENT
759 APPIAN WAY NUMBER 2C
PINOLE CA 94564

Officer/Director/Trustee Two

DR RAKIA ESVER
SECRETARY
759 APPIAN WAY NUMBER 2C
PINOLE CA 94564

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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